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Week 1: Health Chapter 1 Key Concepts Quiz

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How does the text define wellness?

Subjective experience about being healthy

What concept views health as a resource?

Health as a Resource

What is Jean Watson's Theory of Human Caring based on?

Viewing individuals as 'embodied spirit' or transpersonal self

Which concept reflects the whole person and is synonymous with actualization?

Health as Unity

What does the World Health Organization (WHO) 1984 definition of health emphasize?

Emphasizing social and personal resources

How does the text define illness?

'Subjective experience of loss of health'

Which concept views health as adaptation and homeostasis?

'Health as stability'

'Health as a Resource' emphasizes fulfilling roles, meeting demands, and engaging in what?

'Everyday living activities'

What term does the text use to distinguish between nursing and medicine?

Carative

Which model focuses on individual health concerns, treatment, and cure without much emphasis on prevention and promotion of health?

Medical Model

What major shift occurred due to the 'Lalonde Report'?

Shift from Medical Model to Behavioural Model

Which document was the first to acknowledge the inadequacy of a strictly biomedical healthcare system?

Lalonde Report

According to the Ottawa Charter, what is seen as a prerequisite for health?

Social Justice

What was the main focus of the Ottawa Charter regarding health promotion?

Building Healthy Public Policy

Which report became the blueprint for achieving the WHO goal of 'Health for All 2000'?

'Epp Report'

What did Labonte & Lalonde categorize as psychosocial risk factors in their socioenvironmental approach?

"Psychological experiences from social circumstances"

'Operation Lifestyle' and 'ParticipACTION' aimed to address which type of risk factors?

"Behavioural Risk Factors"

'Health for All 2000' aimed at addressing which primary challenge according to the Epp Report?

"Reducing Equities"

What are the 3 conditions for healthy child development mentioned in the text?

Adequate and equitable income, effective parents and family, and supportive community environments

What is a consequence of limited availability of nutritious foods for children in their early years, as mentioned in the text?

Higher rates of childhood obesity leading to early diabetes

What is the term used to describe an approach to healthcare that focuses on short acute care conditions?

Downstream healthcare

What is the main focus of disease prevention activities at the primary level?

Reducing risk factors before signs and symptoms occur

How does health promotion differ from disease prevention?

Health promotion addresses issues before they arise, while disease prevention focuses on managing existing illnesses.

Which factor is NOT considered a social determinant of health according to the text?

Physical fitness level

What is one consequence of inadequate or insecure housing according to the text?

Direct and indirect health impacts

'Houselessness' can lead youth to engage in which behavior as mentioned in the text?

Seeking substance abuse as a coping mechanism

'Indigenous Status' is highlighted as one of the social determinants of health due to which reason?

'Indigenous Status' often correlates with greater food insecurity among households

'Established social determinants of health' primarily focus on what aspect of healthcare?

'Established social determinants of health' primarily emphasize upstream healthcare approaches

What are the socioenvironmental risk conditions that contribute to poor health?

Poverty, low educational or occupational status, dangerous or stressful work, dangerous environments, discrimination, inequalities of income or power

What are the four prerequisites for health added by the Jakarta Declaration?

Empowerment of women, social security, respect for human rights, and social relations

What are the social determinants of health identified by the Toronto Charter?

Indigenous status, early life, education, employment/working conditions

What is the difference between health inequality and health equity?

Health inequality refers to differences in health status among different groups, while health equity refers to the absence of unfair systems and policies that cause health inequalities

What are the three determinants of health identified in the text?

Income, education, and employment/working conditions

How does employment and working conditions impact health?

Employment and working conditions that support health improve physical, mental, and social health

What is the impact of poverty on health?

Poverty has a negative impact on health by affecting access to material resources and causing stress

What is the relationship between education and health?

Education improves health by enabling people to make informed decisions

What are the health disparities identified in the text?

Health disparities refer to differences in health status among different population groups

What are the priorities for action identified by the Jakarta Declaration?

Promoting social responsibility for health in the public and private sector, increasing investments for health in all sectors, increasing community capacity and empowering the individual

Match the following health models with their primary focus:

Medical Model = Restoring health through medical interventions Behavioural Model = Shifting focus to prevention and promotion of health Ottawa Charter = Placing responsibility for health on society and promoting social justice Achieving Health for all (Epp 1986) = Reducing health equities and enhancing coping mechanisms

Match the following key concepts in the evolution of the Canadian health care system with their descriptions:

Ottawa Charter Prerequisites for health = Includes peace, shelter, education, food, and income among others Labonte & Lalonde (1993) Determinants of health = Categorized as psychosocial risk factors related to social circumstances Epp Report Challenges = Involves reducing equities, increasing prevention, and enhancing coping mechanisms Lalonde Report Shift = Transition from medical model to behavioural model with a focus on environment and self-imposed risks

Match the following terms with their meanings:

Carative = Caring process to help a person attain health or die peacefully Curative = Curing the patient of the disease Prerequisites for Health = Includes shelter, education, food, and income among others Determinants of Health = Factors that influence one's health such as lifestyle, environment, human biology, and health care organization

Match the following reports/documents with their contributions to the Canadian health care system:

Lalonde Report = Introduced the distinction between 'Carative' and 'Curative' approaches in nursing and medicine Ottawa Charter = Focused on health promotion, prerequisites for health, and societal responsibility for health Achieving Health for all (Epp 1986) = Outlined challenges like reducing health inequities and enhancing coping mechanisms Labonte & Lalonde (1993) = Categorized major determinants of health in a socioenvironmental approach

Match the following categories with their objectives in promoting health according to the Ottawa Charter:

Building healthy public policy = Creating supportive environments for health Strengthening community action = Developing personal skills for lifestyle changes Reorienting health services = Receive feedback and make necessary changes Developing Personal skills = Opportunity for lifestyle changes

Match the following health promotion strategies with their intended outcomes:

Operation Lifestyle & ParticipACTION = Addressing behavioural risk factors like substance abuse and lack of exercise Epp Report Recommendations = Identifying self-care, mutual aid, and promoting healthy environments as solutions Ottawa Charter Implementation = Focus on social justice, equity, and societal empowerment Lalonde Report Impact = Shifted focus from medical model to behavioural model and emphasized environmental improvements

Match the following social determinants of health with their effects on health:

Poverty = More likely to experience premature birth weights and infant mortality. Education = Improves health status and helps with employment. Employment & Working Conditions = Impacts physical, mental, and social health. Income = Affects health through lack of material resources and psychosocial stress.

Match the following conferences with their focus:

Jakarta Declaration = Increasing social responsibility for health in the public and private sector. Toronto Charter = Increasing social and economic inequalities in Canada. Ottawa Charter = Health promotion and health equity. Epp Report = Achieving 'Health for All 2000'.

Match the following concepts with their definitions:

Health Inequality = Differences in health status among different population groups. Health Equity = Absence of unfair systems and policies that cause health inequalities. Health Promotion = Focusing on individual health concerns, treatment, and cure. Health Determinants = Social and environmental conditions that affect health.

Match the following social determinants of health with their effects on health:

Food Security = Leads to health disparities among different population groups. Housing = Affects health through lack of material resources and psychosocial stress. Indigenous Status = Exposed to health disparities due to social and environmental conditions. Social Exclusion = Limits access to health care and healthy lifestyle.

Match the following with their descriptions:

Socioenvironmental Risk Conditions = Include poverty, low educational or occupational status, dangerous or stressful work, and discrimination. Social Determinants of Health = Include income, education, employment, and housing. Health Disparities = Differences in health status among different population groups. Health Inequities = Unfair systems and policies that cause health inequalities.

Match the following with their priorities for action:

Jakarta Declaration = Promoting social responsibility for health and increasing investments for health. Toronto Charter = Increasing community capacity and empowering individuals. Ottawa Charter = Reducing health disparities and promoting health equity. Epp Report = Increasing social and economic inequalities in Canada.

Match the following description with the correct theorist or report:

Health as a resource for everyday life = WHO (World Health Organization) 1984 definition of health Individuals as 'embodied spirit' or transpersonal self = Jean Watson's Theory of Human Caring Views health as stability- maintenance of physiological, functional, and social norms = Health as stability concept Blueprint for achieving the WHO goal of 'Health for All 2000' = Epp Report

Match the following terms with their correct definition:

Wellness = Subjective experience about being healthy Illness = Objective state of illness detected by science Disease = Subjective experience of loss of health Health as actualization & Stabilization = Realization of human potential through goal directed behavior, self-care, and relationships with other, while meeting demands of everyday life

Match the following health promotion initiatives with their primary focus:

Operation Lifestyle = Behavioral risk factors ParticipACTION = Behavioral risk factors 'Health for All 2000' = Primary challenge: equity in health status Jakarta Declaration = Four prerequisites for health

Match the following socioenvironmental risk conditions with their consequences:

Inadequate or insecure housing = Increased risk of poor health and stress Psychosocial risk factors = Anxiety, depression, and other mental health issues Income and social status = Access to better resources and support Employment and working conditions = Work-related stress and injury

Match the following health disparities with their contributing factors:

Houselessness = Lack of stability, increased risk of engaging in risky behaviors Poverty = Limited access to healthcare, nutritious food, and other resources Indigenous Status = Systemic discrimination and lack of cultural sensitivity Education = Access to better resources, improved health literacy

Match the following priorities for action with their source:

Build healthy public policy = Ottawa Charter Create supportive environments for health = Ottawa Charter Strengthen community action = Ottawa Charter Reorient health services = Ottawa Charter

Match the following health promotion and disease prevention strategies with their descriptions:

Primary prevention = Activities aimed at protecting against the disease before signs and symptoms occur Secondary prevention = Activities aimed at early detection of disease after the pathogen has occurred Tertiary prevention = Activities initiated in the recovery stage of disease and are directed towards minimizing residual disability and helping people live productively with limitations. Health promotion = Directed towards increasing the level of well-being and self-actualization

Match the following social determinants of health with their descriptions:

Food Insecurity = Limited availability of nutritious foods impacting children in their early years leading to early diabetes Physical Environments = Contaminants, housing, homelessness, and climate change affecting health directly and indirectly Indigenous Status = Higher rates of food insecurity and health disparities Housing = Safe and affordable housing, inadequate housing can affect health directly and indirectly, impacting youth with substance abuse issues

Match the following health and well-being concepts with their descriptions:

Health as Adaptation = Health as a dynamic state that can change due to circumstances Health as Resource = Health as a resource for daily living and productive lives Health as Homeostasis = Health as a state of balance and stability Health as Well-being = Health as a holistic concept that encompasses the whole person and their well-being

Match the following healthcare approaches with their descriptions:

Upstream approach = Focuses on health promotion and prevention strategies to address issues before the problem occurs Downstream approach = Focuses on treating acute conditions and addressing health concerns after they arise Short-term acute care approach = Focuses on providing care for short-term acute conditions Holistic approach = Addresses the whole person, including their physical, mental, and emotional well-being

Match the following health promotion and prevention strategies with their examples:

Primary prevention = Education on reducing risk factors for smoking and inactivity Secondary prevention = Blood pressure screening to detect hypertension Tertiary prevention = Cardiac rehabilitation after myocardial infarction Health promotion = Supporting a mother's ability to breastfeed

Match the following social determinants of health with their impacts:

Food Insecurity = Affected 1 in 8 households due to COVID-19 and increased rates of childhood obesity Physical Environments = Exposure to contaminants and homelessness can affect health directly and indirectly Indigenous Status = Affected by higher rates of food insecurity and health disparities Housing = Lack of safe and affordable housing can lead to substance abuse and other negative health outcomes for youth

Match the following health concepts with their descriptions:

Illness = A state of poor health characterized by symptoms and disease Wellness = A holistic concept of health that encompasses physical, mental, and social well-being Health as a Resource = Health as a resource for daily living and productive lives Health as Homeostasis = Health as a state of balance and stability

Study Notes

Health, Wellness, Illness, and Disease

  • Wellness: subjective experience about being healthy
  • Illness: subjective experience of loss of health
  • Disease: objective state of illness detected by science
  • Concepts of Health:
    • Health as stability: maintenance of physiological, functional, and social norms
    • Health as actualization: actualization of human potential
    • Health as a resource: fulfilling roles, meeting demands, and engaging in everyday living
    • Health as unity: reflecting the whole person as a process

Healthcare Models

Medical Model

  • Medical intervention restores health
  • Health problem defined as physiological risk factors for disease
  • Downstream thinking healthcare intervention that focuses on individual health concerns, treatment, and cure
  • Dominant model with no focus on prevention and promotion of health

Behavioural Model

  • Shift from medical model to behavioural model
  • Identified 4 Determinants of Health:
    • Lifestyle
    • Environment
    • Human Biology
    • Organization of healthcare
  • Aimed to decrease behavioural risk factors like substance abuse, lack of exercise, and diet through health programs

Key Concepts in the Evolution of the Canadian Healthcare System

Ottawa Charter (1986)

  • Breakpoint moment for health promotion
  • Prerequisites for health (9):
    • Peace
    • Shelter
    • Education
    • Food
    • Income
    • Equity
    • Stable ecosystem
    • Sustainable resource
    • Justice
  • Focus on social justice, equity, and overall empowerment
  • 5 categories to promote health:
    • Build healthy public policy
    • Create supportive environments
    • Strengthen community action
    • Develop Personal skills
    • Reorient health services

Achieving Health for All (Epp 1986)

  • Concepts of Ottawa charter included
  • Reflects on socio-environmental health
  • 3 challenges:
    • Reducing equities
    • Increasing prevention
    • Enhancing coping mechanisms
  • Identified self-care, mutual aid, and promotion of healthy environments to address challenges

Determinants of Health

Social Determinants of Health (SDoH)

  • Income and its distribution: poverty is the 1# determinant of health
  • Education: health status improves with education
  • Employment and Working Conditions: unemployed and job security impact health
  • Other determinants:
    • Indigenous status
    • Early life
    • Food security
    • Gender
    • Health care services
    • Housing
    • Social safety net
    • Social exclusion

Health Promotion and Illness Prevention

Downstream and Upstream Approaches

  • Downstream: focuses on short-term acute care conditions

  • Upstream: focuses on prevention and promotion of health

  • Health promotion: directed towards increasing the level of well-being and self-actualization

  • Disease prevention: actions aimed at avoiding and forestalling illness and disease

  • 3 Levels of Prevention:

    • Primary: protecting against disease before signs and symptoms occur
    • Secondary: early detection of disease pathogens
    • Tertiary: minimizing residual disability and helping people live productively with limitations### Key Concepts in Health
  • Wellness is a subjective experience of being healthy, influenced by personal feelings and attitudes.

  • Illness is a subjective experience of loss of health, characterized by symptoms and feelings of discomfort.

  • Disease is an objective state of illness, detected and confirmed through scientific methods.

Concepts of Health

  • Health as stability: maintaining physiological, functional, and social norms.
  • Health as actualization: realizing human potential through goal-directed behavior, self-care, and relationships.
  • Health as actualization and stabilization: balancing human potential with everyday life demands.
  • Health as a resource: fulfilling roles, meeting demands, and engaging in daily activities.
  • Health as unity: reflecting the whole person as a process, synonymous with actualization.

WHO Definition of Health (1984)

  • Health is a resource for everyday life, not the object of living.
  • It emphasizes social and personal resources, as well as physical capabilities.

Health Care Models and Their Impact on Current Health Care Delivery in Canada

  • Jean Watson's Theory of Human Caring: views individuals as "embodied spirit" or transpersonal self.

Healthy Child Development

  • 3 conditions for healthy child development: adequate and equitable income, effective parents and family, and supportive community environments and ECE initiatives.
  • Events between conception to 6 years determine children's health for the rest of their lives.
  • Higher rates of childhood obesity are linked to food insecurity.
  • Food insecurity affects 1 in 8 households, with a 50% greater impact on off-reserve Indigenous households.

Social Determinants of Health

  • Physical environments: contaminants, housing, homelessness, and climate change.
  • Housing: safe and affordable housing is essential for health.
  • Inadequate or insecure housing can affect health directly and indirectly.
  • Social exclusion: a determinant of health that can lead to negative health outcomes.
  • Social support networks: essential for health and well-being.
  • Health services: access to healthcare is a critical determinant of health.
  • Indigenous status: a determinant of health that is influenced by historical and systemic factors.
  • Gender: specifically, inequalities for LGBTQ2+ individuals.
  • Other determinants: culture, disability, and social environment.

Health Promotion and Disease Prevention Strategies

  • Downstream approach: focuses on short-term, acute care conditions.
  • Upstream approach: emphasizes health promotion and prevention strategies to address issues before they arise.
  • Health promotion: directed towards increasing well-being and self-actualization.
  • Disease prevention: actions aimed at avoiding and forestalling illness and disease.
  • 3 levels of disease prevention:
    • Primary: protecting against disease before signs and symptoms occur.
    • Secondary: early detection of disease through screening and testing.
    • Tertiary: minimizing residual disability and helping people live productively with limitations.

Test your understanding of key concepts related to health, wellness, illness, and disease as discussed in Chapter 1. Explore definitions of wellness, illness, and disease, and concepts such as health as stability and maintenance of physiological functions.

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